
Cysteamine: Can reduce melasma pigmentation in tested topical formulas. Kojic Acid: May help uneven pigmentation, often as part of a combination treatment.


Consider for diagnosed melasma when a suitable topical option is needed.
Consider for uneven pigment if tolerated; evidence is mainly for combinations.
Can you use both?
Both can irritate. Use them at different times of day and add one at a time.
Compare uses by strength of evidence. Evidence level describes confidence in a benefit, not its size.










Affects melanin formation: Cysteamine acts through several pigment pathways. May help melasma: The formula, contact time and tolerance matter.
Schematic illustration; not a measurement of skin penetration. Effects vary with ingredient identity and formulation.

Reduces tyrosinase activity: Kojic acid interferes with melanin production. Less new pigment forms: Effects depend on the formula and tolerance.
Schematic illustration; not a measurement of skin penetration. Effects vary with ingredient identity and formulation.
Built from where each one usually sits in a routine. Introduce one at a time.
5% cysteamine cream is the main concentration studied for melasma. Contact time is product-specific; some studied formulas are short-contact treatments rather than overnight creams.
5%
Studied melasma cream
Controlled trials studied this strength. One short-contact trial used a specific cream; follow the current product’s instructions rather than copying a study schedule.
Choosing a strength: Choose a finished topical product with clear instructions for how long to leave it on and when to rinse.
Higher strengths: There is no established benefit from escalating beyond the studied strength. Burning, redness or a persistent rash are reasons to stop and reassess.
Formula matters: Stabilization, the base cream and exposure time affect tolerability. Different cysteamine formulations need not have identical instructions.
Kojic acid concentrations in older studies differ from current cosmetic limits. In the EU, kojic acid is limited to 1% in face and hand products; that is not a universal treatment target.
1%
2%
EU cosmetic ceiling
The maximum in specified face and hand products. This is a regulatory limit, not proof of the best efficacy.
Older combination-study strength
Studied with hydroquinone and glycolic acid. The combination result does not isolate kojic acid or establish a current home-use recommendation.
Choosing a strength: Check local rules and the full formula. Kojic acid and kojic dipalmitate are different ingredients and cannot be compared by percentage alone.
Higher strengths: Do not use an older trial’s concentration as a reason to exceed current limits. Irritation or allergic contact dermatitis can occur.
Formula matters: Combination products may obtain benefit from several ingredients. A study of a combination cannot tell you what kojic acid alone contributed.
Approximate windows, not promises.
First few weeksAssess tolerance first; pigment change is usually slower.
First few weeksAssess tolerance first; pigment change is usually slower.
4–8 weeksSome studied regimens begin showing pigment improvement.
4–8 weeksSome studied regimens begin showing pigment improvement.
8–12 weeksA useful review point for benefit and irritation.
8–12 weeksA useful review point for benefit and irritation.
3–6 monthsMany melasma trials assess results over three to four months; recurrence is common.
3–6 monthsMany melasma trials assess results over three to four months; recurrence is common.
6–12 monthsLong-term use depends on the active; follow a monitored plan rather than extending treatment automatically.
6–12 monthsLong-term use depends on the active; follow a monitored plan rather than extending treatment automatically.
Odour, stinging and irritation may limit use; follow wash-off instructions.
Can cause stinging, redness or contact dermatitis.
Stop for persistent burning, swelling, blistering or a new rash. Seek urgent care for breathing difficulty or a severe allergic reaction.
Stop for persistent burning, swelling, blistering or a new rash. Seek urgent care for breathing difficulty or a severe allergic reaction.
Choose a simple formula and test a small area first. Avoid actively inflamed or broken skin unless the product is specifically directed for it.
Choose a simple formula and test a small area first. Avoid actively inflamed or broken skin unless the product is specifically directed for it.
Do not use a cosmetic product as a substitute for diagnosis of an unexplained, changing or persistent skin problem.
Do not use a cosmetic product as a substitute for diagnosis of an unexplained, changing or persistent skin problem.
Data in pregnancy are limited; ask the clinician managing your pregnancy before using.
There is not much pregnancy-specific data on kojic acid, and melasma often appears or worsens in pregnancy. Ask the doctor managing your pregnancy first. Azelaic acid and strict sun protection are the usual alternatives.
On the skin. The finished product delivers cysteamine in a particular vehicle.
Entering skin. Below the 500 Da guideline; delivery still depends on the formula, solubility, stability and skin condition. Size does not prove effectiveness or penetration depth.
Conversion. No activation step is established as necessary for its intended topical role.
Skin response. Acts on pigment-related pathways; the cream, contact time and tolerance influence its practical effect.
Additional effects. Proposed pathways do not establish a measured depth of delivery or clinical benefit beyond the studies cited.
On the skin. The finished product delivers kojic acid in a particular vehicle.
Entering skin. Below the 500 Da guideline; delivery still depends on the formula, solubility, stability and skin condition. Size does not prove effectiveness or penetration depth.
Conversion. No activation step is established as necessary for its intended topical role.
Skin response. Inhibits tyrosinase activity involved in melanin production; cosmetic formulas differ from studied combinations.
Additional effects. Proposed pathways do not establish a measured depth of delivery or clinical benefit beyond the studies cited.
Consider for diagnosed melasma when a suitable topical option is needed.
A small placebo-controlled study supports 5% cream over four months. Active-comparator studies are small and do not prove equal efficacy to hydroquinone. The mass shown refers to the free base, not its hydrochloride salt.
Consider for uneven pigment if tolerated; evidence is mainly for combinations.
A 40-woman split-face trial added kojic acid to hydroquinone and glycolic acid. It does not show that kojic acid alone performs as well as the combination or that higher strengths are better.
Sources